Onycholysis an early indicator of thyroid disease

Malumani, Malan; Dai, Zhijiang; Wu, Jianbo; Quan, Song Ji

doi:10.11604/pamj.2019.32.31.17653

Cited by 9 publications

(10 citation statements)

References 13 publications

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“…The coefficient of determination (R 2 ¼ 0.938) suggests that 93.8% improvement in the patient's overall well-being can be attributed to the improvement in the patient's main complaint (►Fig. 5).…”

Section: Discussionmentioning

confidence: 99%

“…3 Onycholysis, coded as L60.1 in 10th revision of the International Statistical Classification of Diseases and related health problems (ICD-10), 4 is a type of chronic nail disorders characterised by progressive separation of the nail plate from the underlying nail bed. 5 It can be caused due to physical and chemical trauma of the nail, 6 several dermatological diseases like psoriasis, Tinea unguium, paronychia, 7 systemic diseases like hypothyroidism and hyperthyroidism, 5 exposure to contact irritants like nail cosmetics. 6 Many drugs especially antibiotics 8 and chemotherapeutic agents 9 can also cause onycholysis through various known as well as unknown mechanisms.…”

Section: Introductionmentioning

confidence: 99%

“…6 Many drugs especially antibiotics 8 and chemotherapeutic agents 9 can also cause onycholysis through various known as well as unknown mechanisms. 10 Onycholysis affects both males and females but females 5 especially housewives 11 are more prone to onycholysis due to higher exposure to repetitive mechanical, chemical and physical trauma to the nail.…”

Section: Introductionmentioning

confidence: 99%

“…8,10 In cases of onycholysis associated with systemic diseases, improvement usually occurs after effective treatment of the underlying diseases. 5,9 Avoidance of contact irritant also plays a huge role in the regrowth of the affected nail. However, when onycholysis is not associated with any such predisposing factors, then it is diagnosed by exclusion as simple onycholysis 12 which is challenging to treat.…”

Section: Introductionmentioning

confidence: 99%

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Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

et al. 2021

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Introduction Onycholysis is a chronic nail disorder characterised by the progressive separation of the nail plate from the underlying nail bed. Apart from causing pain and discomfort, it affects the quality of life of an individual due to its visualised cosmetic appearance. Case Summary A 45-year-old female presented with complete loss of nail plate of the left middle finger for 1 month. At the first visit, homoeopathic medicine Tuberculinum bovinum was prescribed and the patient was followed up periodically for 4 months. A series of photographs captured at the first visit and in subsequent visits objectively document the gradual regrowth of her nail plate. Various aspects of her subjective improvement were documented by three validated outcome measurement scales. The patient herself assessed that, after 4 months of follow-up, she is ‘back to normal’ for her main complaint as well as for the overall well-being, which is documented as a +4 score in ‘Outcome in Relation to Impact on Daily Living’ (ORIDL) scale. The Dermatology Life Quality Index (DLQI) score was reduced from 20 at the first visit to 1 after 4 months of treatment. Modified Naranjo Criteria for Homeopathy (MONARCH) score recorded at the final visit (+8 in ‘-6 to +13’ scale) is suggestive of a high likelihood that the improvement in the patient can be attributed to the homoeopathic treatment provided. Conclusion This clinical case report is presented here to critically document the effect of individualised homoeopathic treatment in onycholysis within a plausible timeframe.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

et al. 2021

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“…The etiological factors of acquired onycholysis are, among others, thyroid disease [22,25]. Malumani of onycholysis concerned patients of all races and, in the case of thyroid diseases, it occurred in both hyperthyroid ism and hypothyroidism [26]. Nakatsui and Lin described 3 cases of patients with a correlation between onycholysis and hypothyroidism, confirming the presence of this disor der in the state of hypothyroidism.…”

Section: Effect Of Hashimoto's Disease On Nailsmentioning

confidence: 99%

The impact of Hashimoto’s disease on skin, hair, and nails

Koczorowska-Talarczyk¹,

Kordus²

2021

Aesth Cosmetol Med

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The thyroid is an odd endocrine gland located in the neck. Hashimoto’s thyroiditis is a diseases of the gland which often leads to changes in skin and its appendages. The aim of this study was to investigate the relationship between hormonal disorders due to chronic autoimmune thyroiditis and skin, hair and nails conditions. This article presents the results and conclusions of a survey conducted in a group women suffering from Hashimoto’s thyroiditis, diagnosed for at least a year. The conclusions from the questionnaire showed that Hashimoto’s disease adversely affects skin, hair and nails.

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Pattern diagnosis of onycholysis

Navarro

2023

JEADV Clinical Practice

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Onycholysis is defined as the detachment of the nail plate from the underlying and/or lateral supporting structures. Trauma, inflammatory conditions, infectious agents, tumours and toxic substances are the most commonly reported causes of onycholysis. We review the main causes of onycholysis in clinical practice and provide a diagnostic approach based on morphologic patterns of the proximal border of onycholysis, as defined by clinical and dermoscopic examination. Four morphologic patterns of onycholysis, namely transversal, lateral, V-shaped and circular are presented with their most common causes and triggers.

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Onycholysis an early indicator of thyroid disease

Cited by 9 publications

References 13 publications

Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

The impact of Hashimoto’s disease on skin, hair, and nails

Pattern diagnosis of onycholysis

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